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Organization
RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC
Active
Organization
RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC
Active
Parent organization
RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC
Other names
Legacy Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC
Authorized official
KAREN SUE MCCANN (PRACTICE ADMINISTRATOR)
(618) 281-3399
Entity
Organization
Contact information
Practice address
3837 VAILE AVE, SUTIE G, FLORISSANT, MO 63034
(314) 831-9399
(314) 831-8146
Mailing address
3837 VAILE AVE, SUITE G, FLORISSANT, MO 63034
(314) 831-9399
(314) 831-8146
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31267
MO
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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